National Provider Identifier Database

RIVERWALK RANCH LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

RIVERWALK RANCH, LLC
6960 DICK PRICE ROAD
MANSFIELD, TX76063
Phone: 817-720-9520
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for RIVERWALK RANCH, LLC

NPI Number 1740771195
Legal business name
LBN
RIVERWALK RANCH, LLC
Authorized official JONATHAN JANEIRO - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/22/2018
Last updated 10/11/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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